Imaging prices at Saint Francis Hospital-Bartlett
Bartlett, TN · every code in this section with a posted price and a Medicare benchmark.
282 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$751.50–$853.50 | $1,002–$1,138 | varies |
| Abdomen 2 views (74019) | $1,325.25 | $1,767 | 13.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,118.25 | $1,491 | 3.0× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$8,149.50–$8,568 | $10,866–$11,424 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,705–$3,708.75 | $4,940–$4,945 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$2,110.50–$13,676.25 | $2,814–$18,235 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,550 | $7,400 | 1.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$6,253.50–$6,309 | $8,338–$8,412 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$737.25–$819.75 | $983–$1,093 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,009.50 | $5,346 | 0.8× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$4,371.75–$23,398.50 | $5,829–$31,198 | varies |
| Artery X-Rays Pelvis (75736) | $25,329.75 | $33,773 | 4.9× |
| Arthrogram hip (73525) | $2,926.50 | $3,902 | 9.1× |
| Arthrogram Wrist (73115) | $1,716.75 | $2,289 | 5.3× |
| Bone age studies (77072) | $441 | $588 | 4.6× |
| Bone Imaging 3 Phase (78315) | $5,308.50 | $7,078 | 14.3× |
| Bone Imaging Limited Area (78300) | $1,327.50 | $1,770 | 3.6× |
| Bone Imaging Whole Body (78306) | $5,086.50 | $6,782 | 13.7× |
| Bone survey infant (77076) | $878.25 | $1,171 | 9.1× |
| Brain Flow Imaging Only (78610) | $1,952.25 | $2,603 | 3.9× |
| Cat Scan Follow-Up Study (76380) | $706.50 | $942 | 8.8× |
| Cerebrospinal Fluid Scan (78630) | $2,788.50 | $3,718 | 5.5× |
| Chest 1 view (71045) | $677.25 | $903 | 8.4× |
| Chest 2 views (71046) | $746.25 | $995 | 9.3× |
| Chest 3 views (71047) | $595.50 | $794 | 7.4× |
| Chest 4 or more views (71048) | $825.75 | $1,101 | 8.5× |
| Clavicle complete (73000) | $820.50 | $1,094 | 10.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$392.25–$1,464.75 | $523–$1,953 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$3,459–$3,529.50 | $4,612–$4,706 | varies |
| Contrast X-Ray Bladder (74430) | $471.75 | $629 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $2,313.75 | $3,085 | 7.2× |
| Contrast X-Ray Of Knee Joint (73580) | $3,550.50 | $4,734 | 11.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$11,242.50–$13,001.25 | $14,990–$17,335 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$7,497–$9,032.25 | $9,996–$12,043 | varies |
| CT abdomen w contrast (74160) | $6,837.75 | $9,117 | 42.1× |
| CT abdomen w wo contrast (74170) | $7,915.50 | $10,554 | 48.7× |
| CT abdomen w/o contrast (74150) | $5,359.50 | $7,146 | 55.3× |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$5,702.25–$8,417.25 | $7,603–$11,223 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$5,128.50–$6,451.50 | $6,838–$8,602 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$4,970.25–$5,518.50 | $6,627–$7,358 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$2,792.25–$3,333.75 | $3,723–$4,445 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$4,736.25–$4,970.25 | $6,315–$6,627 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$3,540–$4,134.75 | $4,720–$5,513 | varies |
| CT cervical spine w/ contrast (72126) | $5,199 | $6,932 | 16.1× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$4,849.50–$6,134.25 | $6,466–$8,179 | varies |
| CT cervical spine w/wo cont (72127) | $7,437 | $9,916 | 45.8× |
| CT chest w contrast (71260) | $6,297 | $8,396 | 38.7× |
| CT chest w/wo contrast (71270) | $6,876 | $9,168 | 42.3× |
| CT head/brain with contrast (70460) | $6,348.75 | $8,465 | 39.1× |
| CT head/brain without and with contrast (70470) | $7,577.25 | $10,103 | 46.6× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$352.50–$361.50 | $470–$482 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$5,319–$5,916.75 | $7,092–$7,889 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$5,329.50–$5,931 | $7,106–$7,908 | varies |
| CT lower ext w/o (73700) | $2,917.50 | $3,890 | 30.1× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$3,487.50–$4,295.25 | $4,650–$5,727 | varies |
| CT lumbar spine w contrast (72132) | $6,102.75 | $8,137 | 18.9× |
| CT lumbar spine w/o contrast (72131) | $5,530.50 | $7,374 | 57.1× |
| CT maxillofacial w contrast (70487) | $6,745.50 | $8,994 | 41.5× |
| CT maxillofacial wo contrast (70486) | $5,199 | $6,932 | 53.7× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$5,551.50–$5,829 | $7,402–$7,772 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$5,920.50–$7,065 | $7,894–$9,420 | varies |
| CT orbits w/o contrast (70480) | $4,044 | $5,392 | 41.8× |
| CT pelvis w&w/o contrast (72194) | $10,206.75 | $13,609 | 62.8× |
| CT pelvis w/o contrast (72192) | $4,914 | $6,552 | 50.7× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$4,343.25–$4,560 | $5,791–$6,080 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$7,373.25–$7,742.25 | $9,831–$10,323 | varies |
| CT soft tissue neck w contrast (70491) | $4,200 | $5,600 | 25.8× |
| CT soft tissue neck w/o contrast (70490) | $3,063 | $4,084 | 31.6× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$4,031.25–$4,812 | $5,375–$6,416 | varies |
| CT thoracic spine w/o contrast (72128) | $3,279.75 | $4,373 | 33.9× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$5,595–$6,227.25 | $7,460–$8,303 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$4,574.25–$5,091.75 | $6,099–$6,789 | varies |
| CT upper ext wo (73200) | $3,359.25 | $4,479 | 34.7× |
| CT upper extremity w/o & w/contrast material (73202) | $6,518.25 | $8,691 | 40.1× |
| CT upper extremity with contrast (73201) | $4,350 | $5,800 | 13.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$5,702.25–$8,417.25 | $7,603–$11,223 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$5,702.25–$7,978.50 | $7,603–$10,638 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$4,050–$4,251.75 | $5,400–$5,669 | varies |
| Dilation ureters/urethra rs&i (74485) | $2,049 | $2,732 | 1.1× |
| Diskography lumbar (72295) | $9,564 | $12,752 | 5.3× |
| Dxa Bone Density Axial (77080) | $1,437.75 | $1,917 | 14.8× |
| Dxa bone density study (77085) | $648.75 | $865 | 6.7× |
| Echo Guide For Artery Repair (76936) | $2,464.50 | $3,286 | 12.3× |
| Esophagram (74220) | $1,080.75 | $1,441 | 6.7× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$682.50–$754.50 | $910–$1,006 | varies |
| Fluoroscopy up to 1 hr (76000) | $618 | $824 | 2.8× |
| Follow-Up Angiography (75898) | $2,860.50 | $3,814 | 1.0× |
| Foot 2 views (73620) | $864.75 | $1,153 | 10.7× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$485.25–$516 | $647–$688 | varies |
| Gastric emptying imaging study (78264) | $2,392.50 | $3,190 | 6.5× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $3,025.50 | $4,034 | 8.2× |
| Gated Heart Planar Single (78472) | $789.75 | $1,053 | 2.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $3,049.50 | $4,066 | 6.1× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$838.50–$883.50 | $1,118–$1,178 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,968.50 | $7,958 | 2.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $5,079.75 | $6,773 | 1.7× |
| Hepatobil Syst Image W/Drug (78227) | $4,831.50 | $6,442 | 9.6× |
| Hepatobiliary System Imaging (78226) | $4,831.50 | $6,442 | 13.0× |
| Ht Muscle Image Spect Sing (78451) | $10,201.50 | $13,602 | 8.5× |
| Hysterosalpingogram (74740) | $1,308.75 | $1,745 | 5.9× |
| Joint Survey Single View (77077) | $393.75 | $525 | 4.1× |
| K Flow/Funct Image W/Drug (78708) | $1,683.75 | $2,245 | 3.3× |
| K Flow/Funct Image W/O Drug (78707) | $2,070 | $2,760 | 4.1× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$1,001.25–$1,004.25 | $1,335–$1,339 | varies |
| Leveen/Shunt Patency Exam (78291) | $2,054.25 | $2,739 | 5.5× |
| Liver & Spleen Imaging Static Only (78215) | $6,664.50 | $8,886 | 18.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $5,278.50 | $7,038 | 14.3× |
| Lung Ventilat&Perfus Imaging (78582) | $3,190.50 | $4,254 | 6.3× |
| Lung Ventilation Imaging (78579) | $1,825.50 | $2,434 | 4.9× |
| Lymph System Imaging (78195) | $1,819.50 | $2,426 | 3.6× |
| Magnetic Image Jaw Joint (70336) | $4,188.75 | $5,585 | 18.9× |
| Meckels Divert Exam (78290) | $2,198.25 | $2,931 | 5.9× |
| Mr safety determination physician/other qhp (76016) | $308.25 | $411 | 3.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $47.25 | $63 | 1.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $488.25 | $651 | 5.5× |
| Mr safety implt pos&/immoblj (76019) | $639.75 | $853 | 11.7× |
| Mr safety med physics xm customization plng&mntr (76017) | $965.25 | $1,287 | 4.4× |
| Mra Head W/O & W/Contrast Material (70546) | $5,134.50 | $6,846 | 15.9× |
| MRA head w/o contrast (70544) | $3,110.25 | $4,147 | 14.1× |
| MRA head with contrast (70545) | $4,278.75 | $5,705 | 13.2× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$3,660.75–$4,073.25 | $4,881–$5,431 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$4,889.25–$5,493 | $6,519–$7,324 | varies |
| MRA neck w/o contrast (70547) | $3,110.25 | $4,147 | 14.1× |
| MRI abdomen w contrast (74182) | $5,901.75 | $7,869 | 18.3× |
| MRI abdomen w/o contrast (74181) | $4,911.75 | $6,549 | 22.2× |
| MRI any jt lower extrem w/contrast material (73722) | $5,299.50 | $7,066 | 7.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $7,695.75 | $10,261 | 23.8× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$5,694–$6,860.25 | $7,592–$9,147 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$7,496.25–$7,728 | $9,995–$10,304 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$6,333–$6,547.50 | $8,444–$8,730 | varies |
| MRI chest w/o contrast (71550) | $2,280.75 | $3,041 | 10.3× |
| MRI chest wo w contrast (71552) | $2,894.25 | $3,859 | 9.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,299.50 | $7,066 | 16.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,899 | $10,532 | 24.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,134 | $5,512 | 18.7× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$7,590–$8,367 | $10,120–$11,156 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $7,258.50 | $9,678 | 22.5× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$3,477–$3,951.75 | $4,636–$5,269 | varies |
| MRI orbit face neck w contrast (70542) | $5,134.50 | $6,846 | 15.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,507.50 | $6,010 | 13.9× |
| MRI pelvis w/o & w contrast (72197) | $6,510 | $8,680 | 20.1× |
| MRI pelvis w/o contrast (72195) | $5,162.25 | $6,883 | 23.4× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$6,333–$6,547.50 | $8,444–$8,730 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $7,203 | $9,604 | 22.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,803.75 | $6,405 | 21.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,642 | $8,856 | 20.5× |
| MRI, abdomen, combo (74183) | $7,905.75 | $10,541 | 24.5× |
| MRI, dorsal spine combo (72157) | $7,662.75 | $10,217 | 23.7× |
| MRI, dorsal spine contrast (72147) | $8,195.25 | $10,927 | 25.4× |
| MRI, joint upper extrem (73221) | $4,803.75 | $6,405 | 21.7× |
| MRI, joint upper extrem combo (73223) | $7,713 | $10,284 | 23.9× |
| MRI, lumbar spine combo (72158) | $7,662.75 | $10,217 | 23.7× |
| Myelogram cervical (72240) | $2,817 | $3,756 | 3.9× |
| Myelogram Lumbar (72265) | $2,817 | $3,756 | 3.9× |
| Myelograpy 2/more regions rs&i (72270) | $2,817 | $3,756 | 3.9× |
| Myocardial Spect Multiple Studies (78452) | $12,765 | $17,020 | 10.6× |
| Neck soft tissue (70360) | $944.25 | $1,259 | 11.7× |
| Nonvascular Shunt X-Ray (75809) | $1,254.75 | $1,673 | 13.0× |
| Parathyroid Planar Imaging (78070) | $1,008 | $1,344 | 2.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,019 | $2,692 | 5.5× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$212.25–$333 | $283–$444 | varies |
| Peritoneogram Rs&I (74190) | $4,827 | $6,436 | 9.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,262.25 | $1,683 | 3.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$1,325.25–$1,338 | $1,767–$1,784 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$579–$2,037 | $772–$2,716 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$792–$955.50 | $1,056–$1,274 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$201–$241.50 | $268–$322 | varies |
| Radex elbow complete minimum 3 views (73080) | $1,688.25 | $2,251 | 20.9× |
| Radex fingr minimum 2 views (73140) | $432.75 | $577 | 5.4× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$765.75–$923.25 | $1,021–$1,231 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$802.50–$906.75 | $1,070–$1,209 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $819.75 | $1,093 | 10.2× |
| Radex Ribs Unilateral 2 Views (71100) | $975.75 | $1,301 | 12.1× |
| Radex shoulder complete minimum 2 views (73030) | $942 | $1,256 | 11.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $275.25 | $367 | 3.4× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$790.50–$880.50 | $1,054–$1,174 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$314.25–$378.75 | $419–$505 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $284.25 | $379 | 3.5× |
| Radex Toe Minimum 2 Views (73660) | $427.50 | $570 | 5.3× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$497.25–$705.75 | $663–$941 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$1,202.25–$1,263 | $1,603–$1,684 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$581.25–$652.50 | $775–$870 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$1,314–$1,380 | $1,752–$1,840 | varies |
| Radiologic exam colon double contrast study (74280) | $1,544.25 | $2,059 | 9.5× |
| Radiologic exam colon single contrast study (74270) | $1,017.75 | $1,357 | 6.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $993.75 | $1,325 | 6.1× |
| Radiologic exam knee complete 4/more views (73564) | $1,004.25 | $1,339 | 10.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,154.25 | $1,539 | 7.1× |
| Radiologic exam swallow function contrast study (74230) | $594 | $792 | 3.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,833.75 | $2,445 | 11.3× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$408.75–$419.25 | $545–$559 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$411.75–$516 | $549–$688 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$838.50–$883.50 | $1,118–$1,178 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$882.75–$984 | $1,177–$1,312 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$990.75–$1,124.25 | $1,321–$1,499 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $6,937.50 | $9,250 | 13.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,345.75 | $4,461 | 6.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,285 | $4,380 | 6.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,900.61 | $5,200.81 | 3.3× |
| Salivary Gland Imaging (78230) | $1,037.25 | $1,383 | 2.8× |
| Scapula (73010) range across 2 matching MRF lines |
$854.25–$880.50 | $1,139–$1,174 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $158.25 | $211 | 6.8× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$465.75–$527.25 | $621–$703 | varies |
| Shoulder Arthrography (73040) | $1,160.25 | $1,547 | 3.6× |
| Skull less than 4 views (70250) | $448.50 | $598 | 4.6× |
| Speech evaluation, complex (70371) | $695.25 | $927 | 3.1× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$369–$998.25 | $492–$1,331 | varies |
| Testicular Imaging W/Flow (78761) | $3,428.25 | $4,571 | 9.3× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$1,218.75–$1,392 | $1,625–$1,856 | varies |
| Thoracic spine 3 views (72072) | $687 | $916 | 7.1× |
| Thyroid Met Imaging Body (78018) | $3,954 | $5,272 | 7.9× |
| Thyroid Uptake Measurement (78012) | $1,374.75 | $1,833 | 3.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,458.75 | $1,945 | 3.9× |
| Ultrasound Breast Limited (76642) | $1,320 | $1,760 | 16.4× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$505.50–$642 | $674–$856 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,686–$1,983 | $2,248–$2,644 | varies |
| Umbilical-artery Doppler (OB) (76820) | $444.75 | $593 | 4.6× |
| Urethrocystogram voiding (74455) | $580.50 | $774 | 2.6× |
| Urethrocystography retrograde (74450) | $516 | $688 | 2.3× |
| Us breast unilateral complete (76641) | $1,255.50 | $1,674 | 13.0× |
| Us chest (76604) | $348 | $464 | 3.6× |
| Us exam, pelvic, limited (76857) | $1,686 | $2,248 | 17.4× |
| Us head (76506) | $396 | $528 | 4.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,032.75 | $1,377 | 10.7× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$2,277–$2,659.50 | $3,036–$3,546 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$1,211.25–$1,413.75 | $1,615–$1,885 | varies |
| Us ob transvaginal (76817) | $1,038.75 | $1,385 | 10.7× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$2,387.25–$2,505.75 | $3,183–$3,341 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,038.75 | $1,385 | 10.7× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$894–$1,417.50 | $1,192–$1,890 | varies |
| Us retroperitoneal limited (76775) | $880.50 | $1,174 | 9.1× |
| Us scrotum and contents (76870) | $1,824.75 | $2,433 | 18.8× |
| Us spinal canal and contents (76800) | $760.50 | $1,014 | 7.9× |
| Us thyroid (76536) | $882.75 | $1,177 | 9.1× |
| Us transrectal (76872) | $1,108.50 | $1,478 | 11.4× |
| Vein X-Ray Chest (75827) | $3,342.75 | $4,457 | 2.3× |
| Vein X-Ray Spleen/Liver (75810) | $4,500 | $6,000 | 1.5× |
| Venogram Sinus/Jugular (75860) | $3,017.25 | $4,023 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $3,275.25 | $4,367 | 1.1× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,174.50–$3,968.25 | $1,566–$5,291 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$2,550–$3,070.50 | $3,400–$4,094 | varies |
| Venography Renal Bilateral (75833) | $8,623.50 | $11,498 | 2.9× |
| Venography Renal Unilateral (75831) | $7,176.75 | $9,569 | 2.5× |
| Wrist 2 views (73100) | $525.75 | $701 | 6.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,570.50 | $2,094 | 19.5× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$517.50–$623.25 | $690–$831 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$4,948.50–$5,094 | $6,598–$6,792 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$1,146–$1,281.75 | $1,528–$1,709 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $726 | $968 | 9.0× |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$1,117.50–$2,891.25 | $1,490–$3,855 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$726–$762 | $968–$1,016 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $852.75 | $1,137 | 8.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,110.75 | $1,481 | 11.5× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$144–$157.50 | $192–$210 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$393.75–$419.25 | $525–$559 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $591.75 | $789 | 6.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$577.50–$616.50 | $770–$822 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$1,191–$1,326 | $1,588–$1,768 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $1,255.50 | $1,674 | 13.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $972.75 | $1,297 | 12.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,002 | $1,336 | 10.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$990.75–$1,124.25 | $1,321–$1,499 | varies |
| X-ray humerus (73060) | $456.75 | $609 | 5.7× |
| X-ray IV pyelogram (ivp) (74400) | $1,456.50 | $1,942 | 9.0× |
| X-ray IV pyelogram+tomography (74415) | $1,662 | $2,216 | 10.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$410.25–$520.50 | $547–$694 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$885–$929.25 | $1,180–$1,239 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$1,059–$1,338.75 | $1,412–$1,785 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$529.50–$672 | $706–$896 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,458.75 | $1,945 | 15.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$460.50–$492.75 | $614–$657 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$907.50–$1,032.75 | $1,210–$1,377 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $880.50 | $1,174 | 10.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $603 | $804 | 6.2× |
| X-ray thoracic spine 4 vw (72074) | $1,194 | $1,592 | 12.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $582.75 | $777 | 1.8× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$411.75–$522.75 | $549–$697 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$1,444.50–$1,827.75 | $1,926–$2,437 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,002–$1,268.25 | $1,336–$1,691 | varies |
| Xr facial bones less than 3 views (70140) | $227.25 | $303 | 2.8× |
| Xr orbits complete 4 views (70200) | $808.50 | $1,078 | 8.3× |
| Xr Tomogram Single Plane (76100) | $924.75 | $1,233 | 9.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.